Being anxious about speaking in front of an audience is a natural human tendency.  All people experience some form of anxiety before, during, or after speaking in front of an audience. 

For this discussion board, you will be asked to take a survey on your public speaking anxiety, and then reflect on how you can overcome this anxiety or use it to your advantage.

 For your initial post (due on day 3):

First:

Take the Speaking Anxiety Survey before completing this post (located above the Discussion Board in this module).

Read the following information on speaking anxiety: Speech Anxiety

Next:

Create your post to include the following:

1.  Were you surprised by the score you received on the survey?  (Feel free to share your score if you are comfortable doing so). 

2. Why do you think your score was what it was based on the questions asked?

3.  What has been your experience with public speaking in the past?  Have you had any anxiety about giving speeches or the thought of giving public speeches?

4.  Based on what you have read, what can you do to have less anxiety?

5. Based on what you have read, what should you avoid during a speech to show your audience that you are confident and prepared?

For your Responses:

Make sure to respond to two classmates by day 7.  In your responses make sure to ask questions about your peers’ experiences in an attempt to reflect and start an academic conversation. 

Your score should be between 34 and 170. If your score is below 34 or above 170, you have made a mistake in computing the score.

High = > 131

Low = < 98

Moderate =  98-131

Mean = 114.6;  SD = 17.2

There are several interventions we employ to identify knowledge gaps in nursing practice in the department of behavioral health. The most impactful process is the monthly chart audits that are completed on each nurse, APP, and MD who provide care in our department  The data that we collect during the audit process is based on EBP and reported up through our Quality Committee. Three years ago during our quality audits, we noted that depression inventories were not being completed on a regular basis. According to Dham et. al (2017), depression screens assure not only quality care that is cost-effective but also helps guide clinicians in diagnosis and treatment.

    When we identify a knowledge gap, we complete an evidence search to determine what EBPs are available to overcome the gap. Linking the evidence to the practice environment is challenging and a Quality Improvement model is crucial in supporting staff as they adapt their practice models (Taylor et al., 2013)  Our QI team takes the forefront on educating staff through team meetings, department meetings, one on one training as well as mandatory LEAP modules. The Learning Engagement and Performance (LEAP) system modules are used at MetroHealth Medical Center to cover information required by several compliance and accreditation organizations to help keep our staff, our patients, and our visitors safe. The Plan-do-study-act model is another QI model that can be used to adopt changes.

I believe empowering staff is paramount in maximizing their potential to overcome knowledge gaps. Individuals involved in the process are engaged in the process, and in return are committed to the process. We utilize TeamSTEPPS to place the problem in the hands of those who are entrenched in the problem- they know it best.  By tasking them to take ownership we build a competent and connected workforce. TeamSTEPPS has five key principles and is based on team structure, communication, leadership, situation monitoring, and mutual support.

I will guide evidence-based practice by leading when necessary and facilitating when needed. Arming staff with knowledge on how research, EBP, and QI work together to overcome knowledge gaps is an important foundation to lay when addressing needed process changes. I will also be open and non-dismissive with others who are naïve to the process, cultivating an environment where learning and creativity can blossom.    

REFERENCES            

Dham, P., Colman, S., Saperson, K., McAiney, C., Lourenco, L., Kates, N., & Rajji, T. K. (2017). Collaborative care for psychiatric disorders in older adults: A systematic review. Canadian Journal of Psychiatry, 62(11), 1–11. https://doi.org/10.1177/0706743717720869 (Links to an external site.)

Taylor, M. J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. E. (2013). A systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23, 290–298. https://doi.org/10.1136/bmjqs-2013-001862

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 this is due in 5 hours…… no late work…. must have done in 5 hours……

Choose a topic from the  list below that is of interest to you and review two scholarly articles that explores different aspects of your topic.  (your textbook may not be used as one of your sources ). 

For example, if your topic is asthma, you might find an article that discusses where elementary school age children should store  inhalers;  in their backpacks or the nurse’s office.  You may find a different article that suggests there are more cases of children with asthma from lower income levels  compared to children in other income levels.   Some information will be the same, what is asthma, causes of asthma, etc.  Each article will also contain article specific information, inhalers and income levels.  

Scholarly articles may be found in the Long Beach City College Library Databases.  Others may be found on the internet:

Scholarly Resources

• Look for publications from a professional organization.
• Websites with a .org or .net

Your report,

• Identify each article by title, author(s), periodical or journal, issue, date.
• Give a summary of each article.  Include definitions and various perspectives on the topic.
• In what ways do the article relates to the other.   Identify how the articles agree or disagree on various aspects of the topic?  
• Summarize how each article broadened your understanding of your topic of interest.

Your report needs to be between 2 1/2 – 4 pages in length and double spaced.

Choose a topic of interest from the list below: 

asthma

autism

finding a good preschool

whole language vs. phonetics

Common Core

teen popularity and cliques

anorexia nervosa

cyber bullying

sex education in schools

schools that handout condoms

relationship between bullies and bully-victims and attachment

public school vs. private school

girl brains and boy brains- what’s the difference?

nerds vs. jocks and cheerleaders

sports programs for girls

Scholarly Resources that may be helpful

• Look for publications from a professional organization.
• Use databases such as JSTOR (Links to an external site.) that contain only scholarly sources.
• Use databases such as Academic Search Complete (Links to an external site.) or other EBSCO databases that allow you to choose “peer-reviewed journals”.
• See whether Ulrich’s Periodicals Directory (Links to an external site.) indicates that it is a Refereed Journal

Edit question’s attachments.. 

2 pages of Define and describe the disease/condition, symptoms, causes, treatment, living with the disease/condition.

Your instructor will send you the first draft submitted by one of your peers through the classroom email system.

Copyedit the other student’s paper using copyediting marks or the Track Changes editing function in Microsoft Word.

Provide feedback related to the key problems in scientific writing and relevance as described in Lecture 4.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Reading Assignment

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

• Chapter 1, “Expert Clinician to      Transformational Leader in a Complex Health Care Organization:      Foundations” (pp. 7–20 ONLY)
• Chapter 6, “Frameworks for      Becoming a Transformational Leader” (pp. 145–170)
• Chapter 7, “Becoming a Leader:      It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Resources for the StrengthsFinder Assessment Tool

Rath, T. (2007). Strengths Finder 2.0 – with Access Code.

Purchase the access code from the Walden bookstore. Then follow the instructions in the document “How to Access the Strengths Finder 2.0.

Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

· Review the Resources and examine the leadership theories and behaviors introduced.

· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

· Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Your Discussion needs  3 citations . APA 7th Edition. 

What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

Write a 1,250-word essay addressing the following issue:

Discuss scientific communication from an ethical perspective and how the scientific community attempts to monitor the information that is communicated. Reference at least three journal resources,

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

 As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings.  

An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.

• What could be the causes of this tingling sensation?
• What are the various patterns of respiration and their significance?
• Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?
• What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.
• Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not?
• What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?